Momentum Education Teen Possibility Workshop Interest Form

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Thank you for your interest in Momentum's Teen Possibility Workshop. Please fill out your information below and the Momentum Team will be in touch about getting you registered for your preferred workshop.

The Teen Possibility Workshop emphasizes current and relevant issues for young adults (ages 13-17) and covers distinctions such as trust, responsibility, win/win world and choice. Teens will explore topics such as:
Communication, Peer Pressure, Self-Image, Self-Esteem, Relationships, School/Home Life, Future Goals

Teen Name *

Teen Email *

Teen Phone Number

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Guardian Phone *

Which date are you interested in? *

Please notify me of a future Teen Possibility Date

How many teens are you interested in enrolling?

Were you referred by Metropolitan Hospital? *

Yes

Any additional notes/comments for the team?

For more information on brining the Teen Possibility Workshop to a school/organization, please feel free to book a call with our Director of Professional Development at www.momentumeducation.com/pd

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